Individual
JENNIFER BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 W NORTH AVE, CHICAGO, IL 60647-5413
(312) 401-5439
Mailing address
PO BOX 316618, CHICAGO, IL 60631-6523
(312) 401-5439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.011580
IL
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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